Claims Specialist
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... years of medical claims-processing experience Strong analytical ability, including logical ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... years of medical claims-processing experience Strong analytical ability, including logical ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... years of medical claims-processing experience Strong analytical ability, including logical ...
Baton Rouge, LA · On-site +1
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · On-site +1
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · On-site +1
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · On-site +1
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$29K - $41K/yr
Familiarity with medical claims processing or review preferred What you should expect in this role * Schedule : This is primarily a remote position; however, candidates must reside within driving ...
Baton Rouge, LA · Remote
$16.50 - $21/hr
The Carpenter Health Network - Restorative's Post Acute Care Division is seeking a Full-Time Remote ... claims, appeals, reconsiderations, as necessary. * Post payments/collections to accounts. * Analyze ...
Posted today
Quick apply
Baton Rouge, LA · Remote
$16.50 - $21/hr
The Carpenter Health Network - Restorative's Post Acute Care Division is seeking a Full-Time Remote ... claims, appeals, reconsiderations, as necessary. * Post payments/collections to accounts. * Analyze ...
Posted today
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
... and remote support tools. * Strong analytical, troubleshooting, and problem-solving skills ... Medical, dental, and vision insurance options * Company-paid life and AD&D insurance * Flexible ...
Posted today
Quick apply
... and remote support tools. * Strong analytical, troubleshooting, and problem-solving skills ... Medical, dental, and vision insurance options * Company-paid life and AD&D insurance * Flexible ...
Posted today
Baton Rouge, LA · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
Baton Rouge, LA · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Baton Rouge, LA · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Advanced data and analytics providing a comprehensive overview of the risk landscape is at your ... While this role is not currently open, it is fully remote, and we welcome the opportunity to ...
Advanced data and analytics providing a comprehensive overview of the risk landscape is at your ... While this role is not currently open, it is fully remote, and we welcome the opportunity to ...
Baton Rouge, LA · On-site +1
$75K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
Baton Rouge, LA · On-site +1
$75K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
Baton Rouge, LA · On-site +1
$55K - $75K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
Baton Rouge, LA · On-site +1
$55K - $75K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
Baton Rouge, LA · On-site +1
$85K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
Baton Rouge, LA · On-site +1
$85K/yr
Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads ... Excellent analytical, decision-making and organizational skills * Strong typing capabilities and PC ...
$15 - $17.23
16% of jobs
$18.02 is the 25th percentile. Wages below this are outliers.
$17.23 - $19.45
26% of jobs
The median wage is $20.11 / hr.
$19.45 - $21.68
29% of jobs
$22.68 is the 75th percentile. Wages above this are outliers.
$21.68 - $23.90
11% of jobs
$23.90 - $26.13
5% of jobs
$26.13 - $28.35
1% of jobs
$28.35 - $30.57
1% of jobs
$30.57 - $32.80
4% of jobs
$32.80 - $35.02
1% of jobs
$35.02 - $37.25
4% of jobs
$37.25 - $39.47
2% of jobs
$15
$24
$39
The most popular types of Medical Claims Analyst jobs in Baton Rouge, LA are:
For Remote Medical Claims Analyst jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Remote Medical Claims Analyst jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Remote Medical Claims Analyst job openings:

Baton Rouge, LA • Remote
Full-time
Posted 6 days ago
Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
Sourced by ZipRecruiter
Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US